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Awareness and surveillance of radiation treatment schedules reduces head and neck overall treatment time
BACKGROUND AND PURPOSE: Overall treatment time (OTT) is essential for local tumour control and survival in radiotherapy of head and neck cancer (HNC). National radiotherapy guidelines of the Danish Head and Neck Cancer Group (DAHANCA) recommend a maximum OTT of 41 days for moderately accelerated rad...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7033770/ https://www.ncbi.nlm.nih.gov/pubmed/32095592 http://dx.doi.org/10.1016/j.tipsro.2019.01.002 |
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author | Christiansen, Rasmus Lübeck Gornitzka, Janne Andersen, Pia Nielsen, Morten Johnsen, Lars Bertelsen, Anders Smedegaard Zukauskaite, Ruta Johansen, Jørgen Hansen, Christian Rønn |
author_facet | Christiansen, Rasmus Lübeck Gornitzka, Janne Andersen, Pia Nielsen, Morten Johnsen, Lars Bertelsen, Anders Smedegaard Zukauskaite, Ruta Johansen, Jørgen Hansen, Christian Rønn |
author_sort | Christiansen, Rasmus Lübeck |
collection | PubMed |
description | BACKGROUND AND PURPOSE: Overall treatment time (OTT) is essential for local tumour control and survival in radiotherapy of head and neck cancer (HNC). National radiotherapy guidelines of the Danish Head and Neck Cancer Group (DAHANCA) recommend a maximum OTT of 41 days for moderately accelerated radiation treatment (6 fractions/week) and 48 days for conventional treatment (5 fractions/week). The purpose of this study was to evaluate the effect of surveillance of the radiotherapy course length and treatment gaps in HNC patients to reduce OTT. METHODS: The study included 2011 patients with HNC undergoing radical radiation treatment with 66–68 Gy in 33–34 fractions in 2003–2017 at Odense University Hospital. In February 2016, a systematic weekly review by two radiation therapists of all planned treatment courses was introduced to check OTT of individual patients to portend likely breaks or treatment prolongations. Schedules that violated the OTT guidelines were conferred with the responsible radiation oncologist, and treatment rescheduled by treating twice daily to catch up with a delay. RESULTS: The mean length of accelerated treatment courses was reduced from a maximum of 40.9 days in 2007 to 38.3 days in 2017 and from 50.3 days to 45.9 days for conventional courses. The percentage of individual treatment courses that violated the recommended OTT was reduced to 3% of the accelerated treatments and 13% for the conventional treatments. CONCLUSION: Continuous surveillance of treatment schedules of HNC patients by a brief weekly survey reduced treatment course duration to an extent that was radiobiologically and clinically meaningful. |
format | Online Article Text |
id | pubmed-7033770 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-70337702020-02-24 Awareness and surveillance of radiation treatment schedules reduces head and neck overall treatment time Christiansen, Rasmus Lübeck Gornitzka, Janne Andersen, Pia Nielsen, Morten Johnsen, Lars Bertelsen, Anders Smedegaard Zukauskaite, Ruta Johansen, Jørgen Hansen, Christian Rønn Tech Innov Patient Support Radiat Oncol Research article BACKGROUND AND PURPOSE: Overall treatment time (OTT) is essential for local tumour control and survival in radiotherapy of head and neck cancer (HNC). National radiotherapy guidelines of the Danish Head and Neck Cancer Group (DAHANCA) recommend a maximum OTT of 41 days for moderately accelerated radiation treatment (6 fractions/week) and 48 days for conventional treatment (5 fractions/week). The purpose of this study was to evaluate the effect of surveillance of the radiotherapy course length and treatment gaps in HNC patients to reduce OTT. METHODS: The study included 2011 patients with HNC undergoing radical radiation treatment with 66–68 Gy in 33–34 fractions in 2003–2017 at Odense University Hospital. In February 2016, a systematic weekly review by two radiation therapists of all planned treatment courses was introduced to check OTT of individual patients to portend likely breaks or treatment prolongations. Schedules that violated the OTT guidelines were conferred with the responsible radiation oncologist, and treatment rescheduled by treating twice daily to catch up with a delay. RESULTS: The mean length of accelerated treatment courses was reduced from a maximum of 40.9 days in 2007 to 38.3 days in 2017 and from 50.3 days to 45.9 days for conventional courses. The percentage of individual treatment courses that violated the recommended OTT was reduced to 3% of the accelerated treatments and 13% for the conventional treatments. CONCLUSION: Continuous surveillance of treatment schedules of HNC patients by a brief weekly survey reduced treatment course duration to an extent that was radiobiologically and clinically meaningful. Elsevier 2019-02-23 /pmc/articles/PMC7033770/ /pubmed/32095592 http://dx.doi.org/10.1016/j.tipsro.2019.01.002 Text en © 2019 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Research article Christiansen, Rasmus Lübeck Gornitzka, Janne Andersen, Pia Nielsen, Morten Johnsen, Lars Bertelsen, Anders Smedegaard Zukauskaite, Ruta Johansen, Jørgen Hansen, Christian Rønn Awareness and surveillance of radiation treatment schedules reduces head and neck overall treatment time |
title | Awareness and surveillance of radiation treatment schedules reduces head and neck overall treatment time |
title_full | Awareness and surveillance of radiation treatment schedules reduces head and neck overall treatment time |
title_fullStr | Awareness and surveillance of radiation treatment schedules reduces head and neck overall treatment time |
title_full_unstemmed | Awareness and surveillance of radiation treatment schedules reduces head and neck overall treatment time |
title_short | Awareness and surveillance of radiation treatment schedules reduces head and neck overall treatment time |
title_sort | awareness and surveillance of radiation treatment schedules reduces head and neck overall treatment time |
topic | Research article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7033770/ https://www.ncbi.nlm.nih.gov/pubmed/32095592 http://dx.doi.org/10.1016/j.tipsro.2019.01.002 |
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